Referral Coordinator - Oncology Services
Memorial Health Care System
Pembroke Pines, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: The Referrals and Authorizations Coordinator secures prior authorizations and primary care referrals for both professional and hospital technical services across inpatient and outpatient care, including surgeries, procedures, and specialist visits. This role facilitates timely access to care, minimizes treatment delays, and supports accurate reimbursement through payer compliance. Responsibilities: May schedule walk-in appointments for services offered.Explains polices including all regulatory and financial consent forms; Provides exceptional customer service and ensures all questions and concerns are addressed in a timely and courteous manner. Collects patient out-of-pocket responsibility per collection guidelines. Prepares and balances a daily deposit of all payment collections. Competencies: ACCOUNTABILITY, ACCURACY & QUALITY, CUSTOMER SERVICE, DESKTOP SOFTWARE - EHR, EFFECTIVE COMMUNICATION, HIPAA, INSURANCE VERIFICATION, MANAGE BUSINESS PRIORITIES, ORGANIZATION SKILLS, PATIENT AND FAMILY CENTERED CARE, PROBLEM SOLVING, PRODUCTIVITY, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, TEAM WORK, VERIFY INSURANCE, WORKLOAD MANAGEMENT Education and Certification Requirements: High School Diploma or Equivalent (Required) Additional Job Information: Complexity of Work: Knowledge of medical terminology, and insurance authorization processes.Familiarity with payer portals, EMR systems, and healthcare billing systems.Required Work Experience: A minimum of two (2) years' experience in medical practice, preferably in a setting with authorization experience. Cytotoxic Chemicals = 0%
Gas/Vapors/Fumes = 0%
Hazardous Chemicals = 0%
Computer Monitor = 60%
Domestic Animals = 0%
Fire Risk = 0%
Magnetic Fields = 0%
Moving Mechanical Parts = 0%
Shift: Primarily for office workers - not eligible for shift differential Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity. Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law. We are proud to offer Veteran's Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program. If you need reasonable accommodation during the application process, please call View phone number on click.appcast.io (M-F, 8am-5pm) or email View email address on click.appcast.io Memorial Health Care System
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